Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $90.67 / $292.44	Professional		$76.26	$90.67	$292.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $120.64 / $363.74	Professional		$85.32	$120.64	$363.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $211.90 / $304.73	Professional		$109.98	$211.90	$304.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $229.60 / $534.04	Professional		$99.38	$229.60	$534.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.64 / $207.99	Professional		$59.78	$95.64	$207.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $195.62 / $272.80	Professional		$124.89	$195.62	$272.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $460.20 / $534.04	Professional		$159.38	$460.20	$534.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $344.76 / $428.01	Professional		$197.49	$344.76	$428.01
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $191.17 / $351.09	Professional		$96.36	$191.17	$351.09